【摘要】 子宫破裂是产科严重的并发症，随着剖宫产率的增加，瘢痕子宫已成为子宫破裂最为常见的危险因素，其中以剖宫产术后出现妊娠期子宫破裂最为多见。子宫破裂典型的临床表现为剧烈腹痛、烦躁、血尿、阴道流血等。该文报道1例临床表现不明显的妊娠中晚期胎死宫内、子宫破裂并坏死患者的诊疗过程，提示临床医师应提高对于子宫破裂的早期识别水平，及时给予特殊病史患者个体化治疗，尽量避免此类患者严重不良妊娠结局的发生。

    【关键词】 子宫破裂;子宫坏死;胎死宫内;不良妊娠结局

    【Abstract】 Uterine rupture is a serious obstretric complication. With the increase of cesarean section rate， scarred uterus has become the most common risk factor of uterine rupture， especially the uterine rupture during pregnancy after cesarean section. Typical clinical manifestations of uterine rupture are severe abdominal pain ......